Provider Demographics
NPI:1659829349
Name:CASTLE HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:CASTLE HEALTHCARE SERVICES, INC
Other - Org Name:AMADA SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-248-7031
Mailing Address - Street 1:1415 PANTHER LN
Mailing Address - Street 2:SUITE 329
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7874
Mailing Address - Country:US
Mailing Address - Phone:239-963-1545
Mailing Address - Fax:239-330-6146
Practice Address - Street 1:1415 PANTHER LN
Practice Address - Street 2:SUITE 329
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7874
Practice Address - Country:US
Practice Address - Phone:239-963-1545
Practice Address - Fax:239-330-6146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994295251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health